You can complete and submit this form electronically via the Planning Portal by visiting

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1 / ~~StAibans ~ City & istrict Council Plannina and Building Control ~~~t~ob,st:::i ~::: n~~::::~~::::.::t~}~. Website : Telephone: rn n w rn m. Fax: MAY ; Application for tree works: works to trees subject to a tree preservation order (TPO) and/or notification of proposed works to trees in a conservation area. Town and Country Planning Act 1990 You can complete and submit this form electronically via the Planning Portal by visiting Publication of applications on planning authority websites Please note that the information provided on this application form and in supporting documents may be published on the Authority's website. f you require any further clarification, please contact the Authority's planning department. Please complete using block capitals and black ink. You must use this form if you are applying for work to trees protected by a tree preservation order (TPO). (You may also use it to give notice of works to trees in a conservation area). t is important that you read the accompanying guidance notes before filling in the form. Without the correct information, your application notice cannot proceed. 1. Applicant Name and Address 2. Agent Name and Address Title: ltnr First STE-f't\EN Title: First Last e:,org.\e-. Last companfi l (optiona ): l (optiona companfi ): Unit: 5 Unit: number: suffix: number: suffix: Address 1: To \JV N S 6-r-l.. l-an-e. Address 2: Address 1: Address 2: _ Address 3: Address 3: l t\a i2..\'~r--le:'-l \-\-&(<... T fo 12- S \-\ \ (2..t:. l Country: UN\\~1) ~' ''' b-.on. Country: Post code: P..LS2PY. Postcode: _ $ate:: #$ $Revision: 4636 $

2 3. Trees Location f all trees stand 'at the address shown in Question 1, go to Question 4. Otherwise, please provide the full address/location of the site where the tree(s) stand (including full postcode where available) Unit: number: suffix: Address 1: Address 2: l Address 3: Postcode (if known): f the location is unclear or there is not a full postal address, either describe as clearly as possible where it is (for example, 'Land to the rear of 12 to 18 High Street' or 'Woodland adjoining Elm Road') or provide an Ordnance Survey grid reference: escription: 4. Trees Ownership s the applicant the owner of the tree(s): f 'No' please provide the address of the owner (if known and if different from the trees location) Title: First Last Company ~~=============~ (optional): ~===;---:-: ;:======;~-:----;::::====: Unit: r---1 r---1 L j number: l suffix: L j Address 1: ~========================~ Address 2: Address 3: [ Country: Postcode: Country code: National number: number: Country code: llc ll Mobile number (optional): Country code: Fax number (optional): address (optional): 5. What Are You Applying For? Are you seeking consentfor works to tree(s) Yes subject to a TPO? 0 No 6. Tree Preservation Order etails f you know which TPO protects the tree(s), enter its title or number below. Are you wishing to carry out works to tree(s) / in a conservation area? liz(yes No 7. dentification Of Tree(s) And escription Of Works Please identify the tree(s) and provide a full and clear specification of the works you want to carry out. Continue on a separate sheet if necessary. You might find it useful to contact an arborist (tree surgeon) for help with defining appropriate work. Where trees are protected by a TPO, please number them as shown in the First Schedule to the TPO where this is available. Use the same numbers on your sketch plan (see guidance notes). Please provide the following information below: tree species (and the number used on the sketch plan) and description of works. Where trees are protected by a TPO you must also provide reasons for the work and, where trees are being felled, please give your proposals for planting replacement trees (including quantity, species, position and size) or reasons for not wanting to replant. E.g. Oak {T3) fell because of excessive shading and low amenity value. Replant with 1 standard ash in the same place. l 't. G,:pp~ -s~ ~C\~~) '""' ft).,+ '1~ -~"' b~~~':) ~ A\oro(\st(?;-\-"'~r+- ~rroc.\:::.5) ~ -\--rt!n"l -t~- ~ ~~ W~\l'1 \ewer c~f'j. (.or"'.s"-ann f\~ no\-e~ ~ r\.v.~ t.). ~b(&;tnu.-e df'e- b\ ocp ~ \ lj ~t ~rt\ d\~5 rtt '"\ COn b-\- '-'-\h Ve..h le-\e (~ df' 1 v~

3 7. ldeniihcallon Of Tree(s) And escri7ks continued Trees- Additional nformation Additional information may be attached to electronic communications or provided separately in paper format. For all trees A sketch plan clearly showing the position of trees listed in Question 7 must be provided when applying for works to trees covered by a TPO. A sketch plan is also advised when notifying the LPA of works to trees in a conservation area (see guidance notes). t would also be helpful if you provided details of any advice given on site by an LPA officer. For works to trees covered by a TPO ln../ A' Please indicate whether the reasons for carryi~g ;J the proposed works include any of the following. f so, your application must be accompanied by the necessary evidence to support your proposals. (See guidance notes for further details) 1. Condition of the tree(s) -e.g. it is diseased or you have fears that it might break or fall: f YES, you are required to provide written arboricultural advice or other diagnostic information from an appropriate expert. 2. Alleged damage to property- e.g. subsidence or damage to drains or drives. f YES, you are required to provide for: Yes. Yes Subsidence A report by an engineer or surveyor, to include a description of damage, vegetation, monitoring data, soil, roots and repair proposals. Also a report from an arboriculturist to support the tree work proposals. Other structural damage (e.g. drains, walls and hard surfaces) Written technical evidence from an appropriate expert, including description of damage and possible solutions. /[No ocuments and plans (for any tree) Are you providing separate information (e.g. an additional schedule of work for Question 7)? f YES, please provide the reference numbers of plans, documents, professional reports, photographs etc in support of your application. f they are being provided separately from this form, please detail how they are being submitted. $ate:: #$$Revision: 4636 $

4 9. Authority Employee Member With respect to 'the Authority, am: (a) a me]llber of staff (c) related to a member of staff o any of these statements a~ (b) an elected member (d) related to an elected member Yes f Yes, please provide details of the name, relationship and role 10. Application For Tree Works- Checklist Only one copy of the application form and additional information (Question 8) is required. Please use the guidance and this checklist to make sure that this form has been completed correctly and that all relevant information is submitted. Please note that failure to supply precise and detailed information may result in your application being rejected or delayed. You do not need to fill out this section, but it may help you to submit a valid form. Sketch Plan A sketch plan showing the location of all trees (see Question 8) For all trees (see Question 7) Clear identification of the trees concerned A full and clear specification of the works to be carried out For works to trees protected by a TPO (see Question 7) Have you: stated reasons for the proposed works? provided evidence in support of the stated reasons? in particular: if your reasons relate to the condition of the tree(s) -written evidence from an appropriate expert if you are alleging subsidence damage- a report by an appropriate engineer or surveyor and one from an arboriculturist. in respect of other structural damage -written technical evidence included all other information listed in Question 8? ru/ ~ 11. eclaration- Trees 1/we hereby apply for planning permission/consent as described in this form and the accompanying plans/drawings and additional information. 1/we confirm that, to the best of my/our knowledge, any facts stated are true and accurate and any opinions given are the genuine opinions of the person(s) giving them. Signed -Applicant: Or signed - Agent: 6'ate (/MM/YYYY): l e, Wl \d (This date must not be before the date ~ 20 of sending or hand-delivery of the form) < 12. Applicant Contact etails 13. Agent Contact etails Country code: National number: number: Country code: National number: number: / J e: Mobile number (optional): Country code: Mobile numpeffoptional): / J Country code: Fax number (optional): Country code: /ax number (optional): / address (optional): Em_p.Wilddress (optional): ~ Electronic communication :-rf y ou submit this form b y fax or the LPA ma y communicate with y ou in the same manner. (Please see guidance notes) / $ate:: #$$Revision: 4636$

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